Organization
NORTH BREVARD MEDICAL SUPPORT, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENT ANDREW BAILEY (VP FINANCE)
(321) 268-6111
Entity
Organization
Contact information
Practice address
951 N WASHINGTON AVE, TITUSVILLE, FL 32796-2163
(321) 268-6795
(321) 268-6360
Mailing address
805 CENTURY MEDICAL DR STE C, TITUSVILLE, FL 32796-2100
(321) 268-6264
(321) 268-6273
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
—
—
208800000X
Urology Physician
—
—
Other
Enumeration date
08/26/2021
Last updated
08/26/2021
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